RESUMO
The APACHE (Acute Physiology and Chronic Health Evaluation) is a prognostic scoring system for classifying patients in Intensive Care Unit (ICU) on the basis of physiological scores and chronic health status. The chances of survival increase with a decrease in score. AMAs play a major role in management of such illnesses and dramatically improve patient outcome. This study has been undertaken to study the AMA utilization patterns in ICUs. Data was collected from 49 patients admitted in Surgery and Neurosurgery ICUs after IEC approval. The average number of AMAs used was 3.36 per patient. The highest use of AMAs was 4.3 in group VI of APACHE scoring system. Cephalosporins was the most commonly prescribed AMA group. The preferred route of administration was intravenous route. Feedback from this study would help both the prescribers and institutional authorities to review their prescribing practices and modify if necessary to facilitate better health care delivery.
RESUMO
The present study was undertaken to evaluate the format, prescribing pattern and rationality of prescriptions of the patients attending Dermatology Out Patient Department of a tertiary care hospital for a period of one year. A total of 5,355 prescriptions were analyzed in which 17,459 drugs were prescribed with an average of 3.26 drugs per prescription. The patient's name and age was mentioned in all the prescriptions while superscription, dosage form, duration of therapy and prescriber's identity was written in 95.4%, 100%, 80.7% and 23.5% prescriptions respectively. Out of all drugs, 15.4% were from National Essential Drug List of India. Antihistamines (16.9%) were the most common group of drugs used, followed by corticosteroids (15.3%). Most of the drugs were given by topical route (60.2%). Dosage and dose schedule of drugs was written for 91.2% and 94.7% drugs respectively. The study showed a tendency towards polypharmacy and prescribing by proprietary names.